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2018

ANUÁRIO DO HOSPITAL DONA ESTEFÂNIA
REPOSITÓRIO MÉDICO CIENTÍFICO

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THE ADJUSTED EFFECT OF MATERNAL BODY MASS INDEX, ENERGY AND MACRONUTRIENT INTAKES DURING PREGNANCY, AND GESTATIONAL WEIGHT GAIN ON BODY COMPOSITION OF FULL-TERM NEONATES.

Luis Pereira da Silva2, Catarina Cabo3, Ana Catarina Moreira3, Daniel Virella4, Tatiana Guerra3, Tânia Camões3, Ana Rita Silva3, Rute Neves2, Gonçalo Cordeiro Ferreira1,2.

1 - Neonatal Division, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central;
2 - Nutrition Lab, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central;
3 - Department of Dietetics and Nutrition, Lisbon School of Health Technology;
4 - Research Unit, Centro Hospitalar de Lisboa Central. Lisbon, Portugal

- American Journal of Perinatology. Epub 17/12/2013 (artigo)

Objective: To evaluate the effect of prepregnancy body mass index (BMI), energy and macronutrient intakes during pregnancy, and gestational weight gain (GWG) on the body composition of full-term appropriate-for-gestational age neonates.

Study Design: This is a cross-sectional study of a systematically recruited convenience sample of mother–infant pairs. Food intake during pregnancy was assessed by food frequency questionnaire and its nutritional value by the Food Processor Plus (ESHA Research Inc, Salem, OR). Neonatal body composition was assessed both by anthropometry and air displacement plethysmography. Explanatory models for neonatal body composition were tested by multiple linear regression analysis.

Results: A total of 100 mother–infant pairs were included. Prepregnancy overweight was positively associated with offspring weight, weight/length, BMI, and fat-free mass in the whole sample; in males, it was also positively associated with midarm circumference, ponderal index, and fat mass. Higher energy intake from carbohydrate was positively associated with midarm circumference and weight/length in the whole sample. Higher GWG was positively associated with weight, length, and midarm circumference in females.

Conclusion: Positive adjusted associations were found between both prepregnancy BMI and energy intake from carbohydrate and offspring body size in the whole sample. Positive adjusted associations were also found between prepregnancy overweight and adiposity in males, and between GWG and body size in females.

Key-words: air displacement plethysmography, anthropometry, body composition, maternal nutritional status, neonate